Active NPI
Donna S Sandlin, APRN
- Nurse Practitioner
- Manchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3791P
- Practice address
- 210 Marie Langdon Dr
Manchester, KY 40962-6195 - Phone
- (606) 598-5104
- Fax
- (606) 598-0983
- NPI assigned
- Jun 7, 2006
- Last updated
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1083411 | KY | |
| Nurse Practitioner | 363L00000X | 3791P | KY | Primary |
Addresses
Primary practice location
210 Marie Langdon Dr
Manchester, KY 40962-6195
Mailing address
10 Bentley Rd
London, KY 40744-8849
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00409709 | Other | KY | RAILROAD MEDICARE |
| 000000514608 | Other | KY | BLUE CROSS BLUE SHEILD |
| 000000586717 | Other | KY | BLUE CROSS & BLUE SHIELD |
| 7100014610 | Other | KY | MEDICAID NP GROUP NUMBER |
| 78008273 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083411 | KY | MD | Nurse Practitioner |
| 3791P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Ky, LLC | Current | Accepting new patients | |
| Memorial Hospital Inc. | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Southeastern Emergency Services P C | Nurse Practitioner | Current | Accepting new patients |
| Memorial Hospital, Inc. | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Nurse Practitioner | Past | Accepting new patients |
| Emergency Coverage, LLC | Nurse Practitioner | Past | Accepting new patients |
| Cumberland Clinic, PLLC | Nurse Practitioner | Past | Accepting new patients |
| Anand PSC | Nurse Practitioner | Past | Accepting new patients |
| Cumberland Clinic PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1380 Highway 192 E
London, KY 40741
Phone (606) 330-0050
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
94 Marie Langdon Dr
Ste 1
Manchester, KY 40962
Phone (606) 599-0396
Interoperability endpoints
- dsandlin542696@adventhealth.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
Nurse Practitioner
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1033816194
-
dba AdventHealth Manchester
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1255471827
-
dba Physician Services of Memorial Hospital
- Specialist
- Manchester, KY
- NPI 1831150119
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Nurse Practitioner
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
-
dba Heart Clinic of Southeast Ky
- Cardiovascular Disease Physician
- London, KY
- NPI 1801818422
Nurse Practitioner
-
dba Cumberland Clinic ARNP Group
- Nurse Practitioner
- London, KY
- NPI 1992948848
-
- Cardiovascular Disease Physician
- London, KY
- NPI 1457432247
Nurse Practitioner
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fleming County Hospital
- Critical Access Hospital
- Flemingsburg, KY
- NPI 1881726347
-
dba Adventhealth Manchester
- Rural Acute Care Hospital
- Manchester, KY
- NPI 1811922347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1033159223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BENTLEY RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407448849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MARIE LANGDON DR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626195",
"telephone_number": "606-598-5104",
"fax_number": "606-598-0983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLIN",
"first_name": "DONNA",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "1083411",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3791P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00409709",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "000000514608",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "000000586717",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID NP GROUP NUMBER",
"identifier": "7100014610",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78008273",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.